Supplies, drugs & other prices at Montclair Hospital Medical Center
Montclair, CA · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$1,003 | $4,167.65–$4,479.02 | 1.0× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,003 | $2,600.03 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $446 | $1,459.19 | 1.0× |
| Admin influenza virus vac (G0008) | $59 | $265.73 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $59 | $265.73 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $1,190 | $5,910.28 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $1,190 | $6,501.30 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $1,190 | $5,442.56 | 1.0× |
| Direct refer hospital observ (G0379) | $762 | $4,320 | 1.0× |
| Drug test def 1-7 classes (G0480) range across 7 matching MRF lines |
$114 | $343.29–$629.37 | 1.0× |
| Drug test def 15-21 classes (G0482) | $198 | $1,242.13 | 1.0× |
| Drug test def 8-14 classes (G0481) | $156 | $978.69 | 1.0× |
| Fern test (Q0114) | $9 | $136.25 | 0.9× |
| Hep c screen high risk/other (G0472) | $46 | $324.44 | 1.0× |
| Mra w/cont, abd (C8900) | $446 | $4,157.25 | 1.0× |
| Oth resp proc, indiv (G0238) | $37 | $141.85 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $14,775 | $36,924.50 | 1.0× |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$14,775 | $1,422.95–$59,846.40 | 1.0× |
| Psa screening (G0103) range across 2 matching MRF lines |
$19 | $210–$251.59 | 1.0× |
| Therapeutic procd strg endur (G0237) | $37 | $183.22 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $878 | $3,329.05 | 1.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.